MODULE 23 short answer questions

saq 1.

A 6 month old baby is brought in by his mother and father. They are concerned because he has had a period of unresponsiveness after feeding.

Question 1. (6 marks)

What features will you ask about on history in each of the following categories?

Question 2. (2 marks)

Give 2 bedside investigations you will perform.Question 3. (5 marks)

Define the term “apparent life threatening event”.

saq 2.

An 11 month old boy is brought in by his grandmother with leg pain. The resident has ordered an xray, and the images are shown below.

Question 1. (2 marks)

What does the image show?

Question 2. (2 marks)

What are the implications of this injury? Question 3.

Under the headings below outline how will you manage each element of this situation?

Child (3 marks)Grandmother (3 marks)Consultations (2 marks)

saq 3.

A 6 year old boy with a history of asthma presents with his parents. They state that his asthma is “playing up”. He has a history of previous ICU admissions with his asthma.

Question 1. (6 marks)

Give 6 features on examination you will assess for in this child?

Question 2. (2 marks)

The child is using accessory muscles, has oxygen saturations of 91% on RA and a respiratory rate of 61. On ascultation there is no wheeze and minimal air entry bilaterally. How would you grade the severity of this child’s asthma?Question 3. (4 marks)

The child weighs 21kg. What initial treatments will you institute?

Question 4. (2 marks)

The child is not responding to your initial treatment, and escalation is required. What treatments will you administer now?

saq 4.

A 2 year old boy attends ED with his parents, who are concerned that he has had a fever for the past twelve hours. The child is normally well and has no relevant medical history of note. He has a fever of 38.2 oC.

Question 1. (4 marks)

Give 4 clinical signs that would indicate that this child is toxic?

Question 2. (2 marks)

The child has no signs of toxicity, but has vomited twice and appears mildly dehydrated. How would you perform a trial of fluid?

Question 3. (2 marks)

What investigations will you perform (if any) in this child?

Question 4. (6 marks)

The parents have read on the internet about Kawasaki disease. What are the diagnostic criteria?

SAQ 5.

Compare and contrast Measles and German Measles using the table below. (10 marks)